Organization
PATRICK GREEN MD PLLC
Active
Other names
Tooele Methadone Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK NELSON GREEN MD (MEDICAL DIRECTOR/OWNER)
(801) 792-7335
Entity
Organization
Contact information
Practice address
30 S TOOELE BLVD, TOOELE, UT 84074-2093
(435) 241-7778
(435) 248-0334
Mailing address
30 S TOOELE BLVD, TOOELE, UT 84074-2093
(435) 248-0333
(435) 248-0334
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
01/14/2026
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